- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $19,498.45 / $31,622.78
| Facility | | $17,782.79 | $19,498.45 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $34,673.69 / $46,773.51
| Facility | | $24,547.09 | $34,673.69 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $28,183.83 / $39,810.72
| Facility | | $23,442.29 | $28,183.83 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $28,183.83 / $38,018.94
| Facility | | $17,378.01 | $28,183.83 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $28,840.32 / $39,810.72
| Facility | | $17,782.79 | $28,840.32 | $39,810.72 |